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Senior Care is Crushingly Expensive: Navigating the High Cost of Elder Care
Introduction:
The rising cost of senior care is a harsh reality for many families. The emotional toll of caring for an aging loved one is often compounded by the staggering financial burden. This isn't just about retirement savings; it's about navigating a complex system rife with hidden costs and confusing options. This comprehensive guide delves into the shocking expense of senior care, explores the various types of care available, and provides actionable strategies to help you manage the costs and make informed decisions for your family. We'll equip you with the knowledge to navigate this challenging landscape and find affordable, high-quality care for your loved one.
1. Unveiling the Shocking Statistics: Just How Expensive is Senior Care?
The cost of senior care varies dramatically based on location, the type of care needed, and the level of assistance required. However, the numbers are consistently alarming. A single month of assisted living can easily exceed $4,000, and nursing home care can surpass $8,000 per month. Home healthcare, while often seemingly more affordable, can quickly accumulate substantial costs depending on the frequency and duration of visits. These figures represent national averages and can be significantly higher in major metropolitan areas or regions with a high cost of living. The cumulative effect of these expenses can rapidly deplete retirement savings and force families into difficult financial decisions.
2. Types of Senior Care and Their Associated Costs:
Understanding the different types of senior care is crucial for budgeting effectively.
Home Care: This involves caregivers providing assistance in the individual's home. Costs depend on the level of care required (personal care, medical assistance, companionship), the number of hours per week, and the caregiver's qualifications.
Assisted Living: This offers a more structured environment with assistance with daily living activities, meals, and social opportunities. Costs typically include rent, meals, and some level of personal care.
Nursing Homes (Skilled Nursing Facilities): These provide the highest level of medical care for individuals with significant health needs. Costs are substantially higher than assisted living and often require significant insurance coverage or substantial personal funds.
Adult Day Care: This provides daytime supervision and care for seniors, allowing family caregivers some respite. Costs are generally lower than other options but do not offer overnight care.
3. Hidden Costs to Watch Out For:
Beyond the base costs, various hidden expenses can significantly increase the overall burden. These include:
Medication Costs: Prescription drugs can be exceptionally expensive, especially for seniors with multiple health conditions.
Transportation Costs: Doctor appointments, therapy sessions, and social outings can accumulate transportation expenses.
Specialized Equipment: Wheelchairs, walkers, hospital beds, and other equipment can be costly to purchase or rent.
Unexpected Medical Expenses: Hospital stays, emergency room visits, and unexpected health complications can create substantial financial strain.
In-Home Modifications: Adapting a home to accommodate a senior's needs (e.g., ramps, grab bars) can be expensive.
4. Strategies for Managing the Costs of Senior Care:
Facing the high cost of senior care can feel overwhelming, but several strategies can help mitigate the financial burden:
Long-Term Care Insurance: While expensive upfront, long-term care insurance can help cover significant portions of senior care costs.
Medicaid: This government program assists low-income seniors with long-term care expenses. Eligibility requirements vary by state.
Medicare: Medicare offers limited coverage for skilled nursing facility care but generally doesn't cover assisted living or home care.
Veterans Benefits: Veterans and their spouses may be eligible for various benefits that can assist with senior care costs.
Reverse Mortgages: This allows seniors to access equity in their homes to pay for care expenses. However, it requires careful consideration of its long-term implications.
Financial Planning and Budgeting: Careful financial planning, including budgeting for senior care expenses well in advance, is crucial.
5. Seeking Support and Resources:
Navigating the complexities of senior care often requires seeking external assistance. Several organizations offer support and resources:
Area Agencies on Aging (AAAs): These agencies provide information, assistance, and referrals for senior services.
Alzheimer's Association and similar organizations: These provide support and resources for families dealing with specific conditions.
Financial Advisors: Working with a financial advisor specializing in elder care planning can provide guidance on managing finances and navigating available resources.
Article Outline: Senior Care is Crushingly Expensive
Name: Confronting the Crushing Costs of Senior Care: A Comprehensive Guide
Outline:
Introduction: The rising cost of senior care and the purpose of this guide.
Chapter 1: The Shocking Statistics: Detailed breakdown of average costs for various care types.
Chapter 2: Types of Senior Care: In-depth exploration of home care, assisted living, nursing homes, and adult day care, including cost ranges for each.
Chapter 3: Hidden Costs and Unexpected Expenses: A detailed look at medication, transportation, equipment, and medical emergencies.
Chapter 4: Strategies for Managing Costs: Comprehensive analysis of long-term care insurance, Medicaid, Medicare, veterans' benefits, reverse mortgages, and financial planning.
Chapter 5: Seeking Support and Resources: A guide to available organizations, agencies, and professionals who can provide assistance.
Conclusion: Recap of key points and a call to action for proactive planning.
(The detailed explanation of each chapter is provided above in the main article.)
FAQs:
1. What is the average cost of assisted living? The average cost varies significantly by location, but expect to pay upwards of $4,000 per month.
2. Does Medicare cover assisted living? No, Medicare generally does not cover assisted living expenses.
3. What is Medicaid's role in senior care? Medicaid provides financial assistance for long-term care to low-income seniors, but eligibility requirements vary by state.
4. How can I plan financially for senior care? Start planning early, explore long-term care insurance, and consult with a financial advisor specializing in elder care.
5. What are some hidden costs of senior care? Hidden costs can include medication, transportation, specialized equipment, and unexpected medical expenses.
6. What resources are available for families facing high senior care costs? Area Agencies on Aging (AAAs), Alzheimer's Association, and financial advisors are valuable resources.
7. What is the difference between assisted living and a nursing home? Assisted living provides assistance with daily living, while nursing homes offer a higher level of medical care.
8. Can veterans access benefits to help with senior care costs? Yes, veterans and their spouses may be eligible for various benefits depending on their service history.
9. Is long-term care insurance worth the cost? This is a personal decision, but long-term care insurance can help cover significant senior care expenses, although it's expensive upfront.
Related Articles:
1. Understanding Long-Term Care Insurance: A Comprehensive Guide: This article explores the intricacies of long-term care insurance, explaining its benefits, drawbacks, and how to choose the right policy.
2. Navigating Medicaid for Long-Term Care: Eligibility and Application: This article guides readers through the complexities of applying for Medicaid to cover senior care costs.
3. The Ultimate Guide to Assisted Living Facilities: This provides an in-depth look at choosing and evaluating assisted living facilities based on factors like cost, location, and services.
4. Home Care vs. Assisted Living: Which Is Right for Your Loved One? This article helps families compare the advantages and disadvantages of home care and assisted living.
5. Planning for Senior Care: A Financial Roadmap for Families: This article offers practical advice on budgeting for senior care expenses and explores various financial strategies.
6. Reducing Senior Care Costs Through Creative Strategies: This article explores creative strategies for lowering senior care costs without sacrificing quality of care.
7. The Emotional Toll of Senior Care: Supporting Caregivers and Loved Ones: This focuses on the emotional challenges facing families and caregivers and offers support strategies.
8. Government Programs and Resources for Senior Care: This article provides a comprehensive overview of federal and state programs and resources available to help families with senior care costs.
9. Finding Affordable Senior Care in Your Community: This article provides practical tips and resources for locating affordable senior care options within a specific geographic area.
| senior care is crushingly expensive: Proven Wealth Formulas and Techniques Charles G. West, 2002 |
| senior care is crushingly expensive: Lear's , 1989 |
| senior care is crushingly expensive: How to Have It All Michael Allen, 1997-02 |
| senior care is crushingly expensive: Which Country Has the World's Best Health Care? Ezekiel J. Emanuel, 2020-06-16 The preeminent doctor and bioethicist Ezekiel Emanuel is repeatedly asked one question: Which country has the best healthcare? He set off to find an answer. The US spends more than any other nation, nearly $4 trillion, on healthcare. Yet, for all that expense, the US is not ranked #1 -- not even close. In Which Country Has the World's Best Healthcare? Ezekiel Emanuel profiles eleven of the world's healthcare systems in pursuit of the best or at least where excellence can be found. Using a unique comparative structure, the book allows healthcare professionals, patients, and policymakers alike to know which systems perform well, and why, and which face endemic problems. From Taiwan to Germany, Australia to Switzerland, the most inventive healthcare providers tackle a global set of challenges -- in pursuit of the best healthcare in the world. |
| senior care is crushingly expensive: Regulating Aged Care John Braithwaite, Toni Makkai, Valerie A. Braithwaite, 2007-01-01 'Regulating Aged Care is a significant achievement and addresses areas of personal caring which do not usually receive attention. [It] is an important book which draws attention to the central problems of providing care for large numbers of vulnerable people. . . [it] should be required reading on undergraduate and postgraduate courses relating to applied social science, health and medical sociology.' Alison M. Ball, Sociology 'This book provides an impressive evidence base for both theory development and reassessment of policy and practitioner responses in the field.' International Social Security Review 'They have given us a fascinating case study here, rich in detail, and masterfully interpreted against the backdrop of evolving regulatory strategy. It is rare indeed to find this depth of analysis made accessible, laced throughout with humanity, compassion, and humor.' Malcolm Sparrow, Harvard University, US 'This book offers an intelligent and insightful account of the development of nursing home regulation in three countries England, the USA and Australia. But, more than that, it intertwines theory and more than a decade of empirical work to provide a telling and sophisticated explanation of why and how good regulatory intentions often go awry, and what can be done to create systems of regulation which really work to produce improvement.' Kieran Walshe, University of Manchester, UK This book is a major contribution to regulatory theory from three members of the world-class regulatory research group based in Australia. It marks a new development in responsive regulatory theory in which a strengths-based pyramid complements the regulatory pyramid. The authors compare the accomplishments of nursing home regulation in the US, the UK and Australia during the last 20 years and in a longer historical perspective. They find that gaming and ritualism, rather than defiance of regulators, are the greatest challenges for improving safety and quality of life for the elderly in care homes. Regulating Aged Care shows how good regulation and caring professionalism can transcend ritualism. Better regulation is found to be as much about encouragement to expand strengths as incentives to fix problems. The book is underpinned by one of the most ambitious, sustained qualitative and quantitative data collections in both the regulatory literature and the aged care literature. This study provides an impressive evidence base for both theory development and reassessment of policy and practitioner responses in the field. The book will find its readership amongst regulatory scholars in political science, law, socio-legal studies, sociology, economics and public policy. Gerontology and health care scholars and professionals will also find much to reflect upon in the book. |
| senior care is crushingly expensive: The Price We Pay Marty Makary, 2019-09-10 New York Times bestseller Business Book of the Year--Association of Business Journalists From the New York Times bestselling author comes an eye-opening, urgent look at America's broken health care system--and the people who are saving it--now with a new Afterword by the author. A must-read for every American. --Steve Forbes, editor-in-chief, FORBES One in five Americans now has medical debt in collections and rising health care costs today threaten every small business in America. Dr. Makary, one of the nation's leading health care experts, travels across America and details why health care has become a bubble. Drawing from on-the-ground stories, his research, and his own experience, The Price We Pay paints a vivid picture of the business of medicine and its elusive money games in need of a serious shake-up. Dr. Makary shows how so much of health care spending goes to things that have nothing to do with health and what you can do about it. Dr. Makary challenges the medical establishment to remember medicine's noble heritage of caring for people when they are vulnerable. The Price We Pay offers a road map for everyday Americans and business leaders to get a better deal on their health care, and profiles the disruptors who are innovating medical care. The movement to restore medicine to its mission, Makary argues, is alive and well--a mission that can rebuild the public trust and save our country from the crushing cost of health care. |
| senior care is crushingly expensive: Senior Living Communities Benjamin W. Pearce, 1998-11-23 The American Association of Retired Persons estimates that the number of communities for seniors has doubled in the past ten years and will more than double again before the 21st century. This growth has meant that new administrators are often learning by trial and error the complicated task of delivering high quality and consistent services to elderly persons. |
| senior care is crushingly expensive: Long-term Care Insurance United States. Congress. Senate. Committee on Labor and Human Resources, 1988 |
| senior care is crushingly expensive: Health Care Law's Impact on Jobs, Employers, and the Economy United States. Congress. House. Committee on Ways and Means, 2011 |
| senior care is crushingly expensive: Patients First United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health, 2001 |
| senior care is crushingly expensive: They Deserve Better Pat Armstrong, 2009-01 |
| senior care is crushingly expensive: Who Is Michael Ovitz? Michael Ovitz, 2018-09-25 If you're going to read one book about Hollywood, this is the one. As the co-founder of Creative Artists Agency, Michael Ovitz earned a reputation for ruthless negotiation, brilliant strategy, and fierce loyalty to his clients. He reinvented the role of the agent and helped shape the careers of hundreds of A-list entertainers, directors, and writers, including Steven Spielberg, Martin Scorsese, Meryl Streep, Sean Connery, Bill Murray, Robin Williams, and David Letterman. But this personal history is much more than a fascinating account of celebrity friendships and bare-knuckled dealmaking. It's also an underdog's story: How did a middle-class kid from Encino work his way into the William Morris mailroom, and eventually become the most powerful person in Hollywood? How did an agent (even a superagent) also become a power in producing, advertising, mergers & acquisitions, and modern art? And what were the personal consequences of all those deals? After decades of near-silence in the face of controversy, Ovitz is finally telling his whole story, with remarkable candor and insight. |
| senior care is crushingly expensive: TIME the Science of Alzheimer's Editors of TIME, 2019-07-08 Confusing, mysterious and unknown, Alzheimer's is among the most-feared diseases because it strikes indiscriminately and there is no known cure. Now, in The Science of Alzheimer's, a new Special Edition from the editors of TIME, we draw back the curtain to reveal the latest research on what the disease is and what it is not, and how science is working to make Alzheimer's a manageable problem with a hopeful long-term prognosis, akin to diabetes or HIV. Go inside the latest research on different types of dementia, hereditary and environmental causes, new treatments, and more. Helpful lifestyle tips show how to ward off mental decline as we age, and case histories-including the stories of musician Glen Campbell and President Ronald Reagan, who bravely shared their diagnoses with the world-reveal the human face of Alzheimer's. We also look at the latest drugs being used to treat the disease and how there is hope in recent treatments and protocols, as well as alternative treatments that may be making a difference. Packed with authoritative information from the health editors at TIME, this guide helps everyone understand a frightening disease-and recognize the strides that are being made to fight it. |
| senior care is crushingly expensive: Ask a Manager Alison Green, 2018-05-01 From the creator of the popular website Ask a Manager and New York’s work-advice columnist comes a witty, practical guide to 200 difficult professional conversations—featuring all-new advice! There’s a reason Alison Green has been called “the Dear Abby of the work world.” Ten years as a workplace-advice columnist have taught her that people avoid awkward conversations in the office because they simply don’t know what to say. Thankfully, Green does—and in this incredibly helpful book, she tackles the tough discussions you may need to have during your career. You’ll learn what to say when • coworkers push their work on you—then take credit for it • you accidentally trash-talk someone in an email then hit “reply all” • you’re being micromanaged—or not being managed at all • you catch a colleague in a lie • your boss seems unhappy with your work • your cubemate’s loud speakerphone is making you homicidal • you got drunk at the holiday party Praise for Ask a Manager “A must-read for anyone who works . . . [Alison Green’s] advice boils down to the idea that you should be professional (even when others are not) and that communicating in a straightforward manner with candor and kindness will get you far, no matter where you work.”—Booklist (starred review) “The author’s friendly, warm, no-nonsense writing is a pleasure to read, and her advice can be widely applied to relationships in all areas of readers’ lives. Ideal for anyone new to the job market or new to management, or anyone hoping to improve their work experience.”—Library Journal (starred review) “I am a huge fan of Alison Green’s Ask a Manager column. This book is even better. It teaches us how to deal with many of the most vexing big and little problems in our workplaces—and to do so with grace, confidence, and a sense of humor.”—Robert Sutton, Stanford professor and author of The No Asshole Rule and The Asshole Survival Guide “Ask a Manager is the ultimate playbook for navigating the traditional workforce in a diplomatic but firm way.”—Erin Lowry, author of Broke Millennial: Stop Scraping By and Get Your Financial Life Together |
| senior care is crushingly expensive: The State of Aging United States. Congress. House. Select Committee on Aging, 1975 |
| senior care is crushingly expensive: My New Roots Sarah Britton, 2015-03-31 Holistic nutritionist and highly-regarded blogger Sarah Britton presents a refreshing, straight-forward approach to balancing mind, body, and spirit through a diet made up of whole foods. Sarah Britton's approach to plant-based cuisine is about satisfaction--foods that satiate on a physical, emotional, and spiritual level. Based on her knowledge of nutrition and her love of cooking, Sarah Britton crafts recipes made from organic vegetables, fruits, whole grains, beans, lentils, nuts, and seeds. She explains how a diet based on whole foods allows the body to regulate itself, eliminating the need to count calories. My New Roots draws on the enormous appeal of Sarah Britton's blog, which strikes the perfect balance between healthy and delicious food. She is a whole food lover, a cook who makes simple accessible plant-based meals that are a pleasure to eat and a joy to make. This book takes its cues from the rhythms of the earth, showcasing 100 seasonal recipes. Sarah simmers thinly sliced celery root until it mimics pasta for Butternut Squash Lasagna, and whips up easy raw chocolate to make homemade chocolate-nut butter candy cups. Her recipes are not about sacrifice, deprivation, or labels--they are about enjoying delicious food that's also good for you. |
| senior care is crushingly expensive: Flat Broke with Two Goats Jennifer McGaha, 2018-01-23 When life gets your goat, bring in the herd Jennifer McGaha never expected to own a goat named Merle. Or to be setting Merle up on dates and naming his doeling Merlene. She didn't expect to be buying organic yogurt for her chickens. She never thought she would be pulling camouflage carpet off her ceiling or rescuing opossums from her barn and calling it date night. Most importantly, Jennifer never thought she would only have $4.57 in her bank account. When Jennifer discovered that she and her husband owed back taxes—a lot of back taxes—her world changed. Now desperate to save money, they foreclosed on their beloved suburban home and moved their family to a one-hundred-year-old cabin in a North Carolina holler. Soon enough, Jennifer's life began to more closely resemble her Appalachian ancestors than her upper-middle-class upbringing. But what started as a last-ditch effort to settle debts became a journey that revealed both the joys and challenges of living close to the land. Told with bold wit, unflinching honesty, and a firm foot in the traditions of Appalachia, Flat Broke with Two Goats blends stories of homesteading with the journey of two people rediscovering the true meaning of home. |
| senior care is crushingly expensive: Nomination of Governor Kathleen Sebelius United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions, 2010 |
| senior care is crushingly expensive: Medication Management in Older Adults Susan Koch, F. Michael Gloth, Rhonda Nay, 2010-08-14 Medication use is the predominant form of health intervention in our society. And as we age, the likelihood of medication use increases dramatically, with more than 80 percent of those over age 65 using one or more medications. Along with that, the potential for medication errors also increases. Indeed adverse drug reactions (ADRs) and adverse drug events (ADEs) are a significant problem in older adults. Written in a practical format by contributors from Australia and the United States, Medication Management in Older Adults: A Concise Guide for Clinicians presents the available evidence on research interventions designed to reduce the incidence of medication errors in older adults, with a focus on acute, subacute, and residential (long-term) care settings. Because medication errors can occur at all stages in the medication process, from prescription by physicians to delivery of medication to the patient by nurses, and in any site in the health system, it is essential that interventions be targeted at all aspects of medication delivery. Chapters cover the principles of medical ethics in relation to medication management; common medication errors in the acute care sector; medication management in long-term care settings; nutrition and medications; the outcomes of a systematic review; dose form alterations; Electronic Health Records (EHR), Computerized Order Entry (COE), Beers criteria; and pharmacokinetics and pharmacodynamics. For those clinicians especially concerned with providing the best possible outcomes for their older adult patients, Medication Management in Older Adults: A Concise Guide for Clinicians is an invaluable resource and a significant contribution to the burgeoning literature on medication errors. |
| senior care is crushingly expensive: Differential Diagnosis for Physical Therapists- E-Book Catherine Cavallaro Kellogg, 2006-12-14 NEW! Full-color design, photos, and illustrations clearly demonstrate pathologies and processes. NEW and UPDATED! Evolve resources include printable screening tools and checklists, practice test questions, and more to enhance your learning. NEW! Hot topics keep you informed on rehabbing patients in the dawn or more current surgeries. |
| senior care is crushingly expensive: Congressional Record United States. Congress, 1967 The Congressional Record is the official record of the proceedings and debates of the United States Congress. It is published daily when Congress is in session. The Congressional Record began publication in 1873. Debates for sessions prior to 1873 are recorded in The Debates and Proceedings in the Congress of the United States (1789-1824), the Register of Debates in Congress (1824-1837), and the Congressional Globe (1833-1873) |
| senior care is crushingly expensive: Safe Management of Wastes from Health-care Activities Yves Chartier, 2014 This is the second edition of the WHO handbook on the safe, sustainable and affordable management of health-care waste--commonly known as the Blue Book. The original Blue Book was a comprehensive publication used widely in health-care centers and government agencies to assist in the adoption of national guidance. It also provided support to committed medical directors and managers to make improvements and presented practical information on waste-management techniques for medical staff and waste workers. It has been more than ten years since the first edition of the Blue Book. During the intervening period, the requirements on generators of health-care wastes have evolved and new methods have become available. Consequently, WHO recognized that it was an appropriate time to update the original text. The purpose of the second edition is to expand and update the practical information in the original Blue Book. The new Blue Book is designed to continue to be a source of impartial health-care information and guidance on safe waste-management practices. The editors' intention has been to keep the best of the original publication and supplement it with the latest relevant information. The audience for the Blue Book has expanded. Initially, the publication was intended for those directly involved in the creation and handling of health-care wastes: medical staff, health-care facility directors, ancillary health workers, infection-control officers and waste workers. This is no longer the situation. A wider range of people and organizations now have an active interest in the safe management of health-care wastes: regulators, policy-makers, development organizations, voluntary groups, environmental bodies, environmental health practitioners, advisers, researchers and students. They should also find the new Blue Book of benefit to their activities. Chapters 2 and 3 explain the various types of waste produced from health-care facilities, their typical characteristics and the hazards these wastes pose to patients, staff and the general environment. Chapters 4 and 5 introduce the guiding regulatory principles for developing local or national approaches to tackling health-care waste management and transposing these into practical plans for regions and individual health-care facilities. Specific methods and technologies are described for waste minimization, segregation and treatment of health-care wastes in Chapters 6, 7 and 8. These chapters introduce the basic features of each technology and the operational and environmental characteristics required to be achieved, followed by information on the potential advantages and disadvantages of each system. To reflect concerns about the difficulties of handling health-care wastewaters, Chapter 9 is an expanded chapter with new guidance on the various sources of wastewater and wastewater treatment options for places not connected to central sewerage systems. Further chapters address issues on economics (Chapter 10), occupational safety (Chapter 11), hygiene and infection control (Chapter 12), and staff training and public awareness (Chapter 13). A wider range of information has been incorporated into this edition of the Blue Book, with the addition of two new chapters on health-care waste management in emergencies (Chapter 14) and an overview of the emerging issues of pandemics, drug-resistant pathogens, climate change and technology advances in medical techniques that will have to be accommodated by health-care waste systems in the future (Chapter 15). |
| senior care is crushingly expensive: The Responsibility to Protect in Darfur David Lanz, 2019-10-28 This book analyzes the Responsibility to Protect (R2P) in the context of the conflict in Darfur, using detailed empirical evidence. The volume traces Darfur’s evolution from forgotten conflict to a major global cause and back to obscurity. The emergence of a far-reaching international response to the war in Darfur began in 2004 and included the most influential international advocacy movement since the anti-apartheid campaign and one of the world’s largest peacekeeping missions. The book analyzes how Darfur slid back into international obscurity after 2011, despite ongoing violence against civilians and the continued risk of conflict escalation following Omar al-Bashir’s ousting in April 2019. Based on an analysis of more than 100 interviews and over 1,000 media reports, the book examines one of the most pressing questions related to the R2P: why do some situations of mass atrocities cause an international outcry, while others are met with complacency and silence? It argues that the presence or absence of a compelling narrative, which frames a situation in moral terms and unambiguously conveys who is responsible, who suffers, and what should be done, facilitates whether or not sufficient traction will be gained to beget a robust R2P response. This book will be of much interest to students of the Responsibility to Protect, human rights, peacekeeping, conflict resolution, African politics and International Relations in general. |
| senior care is crushingly expensive: Handbook of Drug Administration via Enteral Feeding Tubes, 3rd edition Rebecca White, Vicky Bradnam, 2015-03-11 With over 400 drug monographs, this book covers the technical, practical and legal aspects that you should consider before prescribing or administering drugs via enteral feeding tubes. |
| senior care is crushingly expensive: Mining and Scientific Press and Pacific Electrical Review , 1880 |
| senior care is crushingly expensive: Working Mother , 2001-10 The magazine that helps career moms balance their personal and professional lives. |
| senior care is crushingly expensive: Seeing Like a State James C. Scott, 2020-03-17 “One of the most profound and illuminating studies of this century to have been published in recent decades.”—John Gray, New York Times Book Review Hailed as “a magisterial critique of top-down social planning” by the New York Times, this essential work analyzes disasters from Russia to Tanzania to uncover why states so often fail—sometimes catastrophically—in grand efforts to engineer their society or their environment, and uncovers the conditions common to all such planning disasters. “Beautifully written, this book calls into sharp relief the nature of the world we now inhabit.”—New Yorker “A tour de force.”— Charles Tilly, Columbia University |
| senior care is crushingly expensive: Mining and Scientific Press , 1880 |
| senior care is crushingly expensive: Olympic Cities John R. Gold, Margaret M. Gold, 2010-09-06 Providing a full overview of the changing relationship between cities and the Olympic events, this substantially revised and enlarged edition builds on the success of its predecessor. Its coverage takes account of important new scholarship as well as adding reflections on the experience of staging Beijing 2008 and Vancouver 2010, the state of preparations for London 2012, and the plans for the Games scheduled for Sochi in 2014 and Rio de Janeiro 2016. The book is divided into three parts that provide overviews of the urban legacy of the four component Olympic festivals, systematic surveys of five key aspects of activity involved in staging the Olympics and ten chronologically arranged portraits of host cities. As controversy over the growing size and expense of the Olympics continues, this timely assessment of the Games’ development and the complex agendas that host cities attach to the event will be essential reading for urban and sports historians, urban geographers, planners and all concerned with understanding the relationship between cities and culture. Olympic Cities is one of the Routledge books of the month for December 2010 |
| senior care is crushingly expensive: Evidence-Based Endocrinology Victor M. Montori, 2007-11-05 Internationally recognized experts, pioneers, and opinion makers in evidence-based medicine (EBM) provocatively recast endocrine policy and practice in the light of EBM philosophy and principles. The authors explain the past, present, and future of EBM; consider its practical implications for endocrinology; demonstrate what the evidence base is in EBM; and present illustrative case studies by practicing evidence-based clinicians. Highlights include essays on why cost-effective analyses are problematic, the contrast between clinical investigations and large randomized trials, the role of Cochrane reviews and meta-analyses, and the curriculum requirements for training evidence-based endocrinologists. |
| senior care is crushingly expensive: Report of the Commissioner of Penitentiaries ... Canada. Department of Justice, 1898 |
| senior care is crushingly expensive: Annual Report of the Commissioner of Penitentiaries Canada. Department of Justice, 1897 |
| senior care is crushingly expensive: Report of the Inspectors of Penitentiaries for the Fiscal Year Ended March 31 ... Canada. Office of the Inspector of Penitentiaries, 1898 |
| senior care is crushingly expensive: Lost in the Meritocracy Walter Kirn, 2010-06-01 A New York Times Notable Book A Daily Beast Best Book of the Year A Huffington Post Best Book of the Year From elementary school on, Walter Kirn knew how to stay at the top of his class: He clapped erasers, memorized answer keys, and parroted his teachers’ pet theories. But when he launched himself eastward to an Ivy League university, Kirn discovered that the temple of higher learning he had expected was instead just another arena for more gamesmanship, snobbery, and social climbing. In this whip-smart memoir of kissing-up, cramming, and competition, Lost in the Meritocracy reckons the costs of an educational system where the point is simply to keep accumulating points and never to look back—or within. |
| senior care is crushingly expensive: Public Papers of the Presidents of the United States United States. President, 1999 Containing the public messages, speeches, and statements of the President, 1956-1992. |
| senior care is crushingly expensive: Silicosis Paul-André Rosental, 2017-04-25 The most comprehensive book to date on the history of silicosis and the strategies used to combat it. Despite the common perception that “black lung” has been relegated to the dustbin of history, silicosis remains a crucial public health problem that threatens millions of people around the world. This painful and incurable chronic disease, still present in old industrial regions, is now expanding rapidly in emerging economies around the globe. Most industrial sectors—including the metallurgical, glassworking, foundry, stonecutting, building, and tunneling industries—expose their workers to lethal crystalline silica dust. Dental prosthodontists are also at risk, as are sandblasters, pencil factory workers in developing nations, and anyone who handles concentrated sand squirt to clean oil tanks, build ships, or fade blue jeans. In Silicosis, eleven experts argue that silicosis is more than one of the most pressing global health concerns today—it is an epidemic in the making. Essays explain how the understanding of the disease has been shaken by new medical findings and technologies, developments in industrializing countries, and the spread of the disease to a wide range of professions beyond coal mining. Examining the global reactions to silicosis, the authors trace the history of the disease and show how this occupational health hazard first came to be recognized as well as the steps that were necessary to deal with it at that time. Adopting a global perspective, Silicosis offers comparative insights into a variety of different medical and political strategies to combat silicosis. It also analyzes the importance of transnational processes—carried on by international organizations and NGOs and sparked by waves of migrant labor—which have been central to the history of silicosis since the early twentieth century. Ultimately, by bringing together historians and physicians from around the world, Silicosis pioneers a new collective method of writing the global history of disease. Aimed at legal and public health scholars, physicians, political economists, social scientists, historians, and all readers concerned by labor and civil society movements in the contemporary world, this book contains lessons that will be applicable not only to people working on combating silicosis but also to people examining other occupational diseases now and in the future. Contributors: Alberto Baldasseroni, Francesco Carnevale, Éric Geerkens, Martin Lengwiler, Gerald Markowitz, Jock McCulloch, Joseph Melling, Julia Moses, Paul-André Rosental, David Rosner, Bernard Thomann |
| senior care is crushingly expensive: Life and Death Are Wearing Me Out Mo Yan, 2012-07 Stripped of his possessions and executed as a result of Mao's Land Reform Movement in 1948, benevolent landowner Ximen Nao finds himself endlessly tortured in Hell before he is systematically reborn on Earth as each of the animals in the Chinese zodiac. |
| senior care is crushingly expensive: The Lady And The Peacock Peter Popham, 2011-11-03 Peter Popham's major new biography of Aung San Suu Kyi draws upon previously untapped testimony and fresh revelations to tell the story of a woman whose bravery and determination have captivated people around the globe. Celebrated today as one of the world's greatest exponents of non-violent political defiance since Mahatma Gandhi, she was awarded the Nobel Peace Prize only four years after her first experience of politics. In April 1988, Suu Kyi returned from Britain to Burma to nurse her sick mother but, within six months, found herself the unchallenged leader of the largest popular revolt in the history of Burma. When the party she co-founded won a landslide victory in Burma's first free elections for thirty years, she was already under house arrest and barred from taking office by the military junta. Since then, 'The Lady' has set about transforming her country ethically as well as politically, displaying dazzling courage in the process. Under house arrest for 15 of the previous 20 years, she has come close to being killed by her political enemies and her commitment to peaceful revolution has come at extreme personal cost. In November 2010, after fraudulent elections in which she played no part, Suu Kyi was again freed. She was greeted by ecstatic crowds but only time will tell what role this remarkable woman will have in the future of her country. |
| senior care is crushingly expensive: The Last Shot Brett Wallach, 2023-04-19 It is the beginning of the fourth quarter for me, actuarially. Time is running out, I’m way behind, and I’ve got to score. Now. Middle-aged Philadelphia Private Investigator Phil Allman is writing a detective novel. And he is determined to have it published by a major house. No matter what it takes. Rachel Arison is Senior Vice President of Fiction at Bryce Douglas. And was a high school classmate of Phil’s. When he compels her to publish his book by taking her hostage, she acquiesces in part because she has an agenda of her own. Their uneasy arrangement takes several surprising turns along the way. The Last Shot is a suspenseful and often funny elegy about the challenges of getting older while trying to make a dream come true before it is too late. It is also a book within a book; Phil’s novel is a chronicle of his abduction of Rachel and its aftermath. The Last Shot is the ninth in the series of Phil Allman mysteries; unlike the protagonists of many mystery novels, Phil is certainly no hero, but you can’t help but root for him. |
| senior care is crushingly expensive: Olympic Cities John Gold, Margaret M Gold, 2016-07-11 The first edition of Olympic Cities, published in 2007, provided a pioneering overview of the changing relationship between cities and the modern Olympic Games. This substantially revised and enlarged third edition builds on the success of its predecessors. The first of its three parts provides overviews of the urban legacy of the four component Olympic festivals: the Summer Games; Winter Games; Cultural Olympiads; and the Paralympics. The second part comprisessystematic surveys of seven key aspects of activity involved in staging the Olympics: finance; place promotion; the creation of Olympic Villages; security; urban regeneration; tourism; and transport. The final part consists of nine chronologically arranged portraits of host cities, from 1936 to 2020, with particular emphasis on the six Summer Olympic and Paralympic Games of the twenty-first century. As controversy over the growing size and expense of the Olympics, with associated issues of accountability and legacy, continues unabated, this book’s incisive and timely assessment of the Games’ development and the complex agendas that host cities attach to the event will be essential reading for a wide audience. This will include not just urban and sports historians, urban geographers, event managers and planners, but also anyone with an interest in the staging of mega-events and concerned with building a better understanding of the relationship between cities, sport and culture. |
